2 research outputs found
Tecnologias e dispositivos de microondas que separam a pele da pele de coelho
The purpose of this work is the development of microwave technology and de-vices separating fur from rabbit skins in a continuous mode at reduced operating costs. They developed the method for the action of the ultrahigh frequency electro-magnetic field (UFEF), which provides the reduction of fur fiber holding power in the meat fabric of rabbit skins with simultaneous combing and gathering. They calcu-lated the mathematical dependences describing the dynamics of multicomponent raw material heating with the change of dielectric and physicomechanical parameters in the process of UFEF. They calculated and visualized the electromagnetic field distri-butions in the developed resonators, on the basis of which they substantiated the ef-fective parameters of the electrodynamic system: the maximum property, the quality of resonators and the electric field strength. They substantiated the complex of struc-tural and technological parameters of devices with new structural design of working chambers by a multi-criteria evaluation of the technological process for the separation of fur from rabbit skin. They manufactured and tested the microwave device under production conditions for the separation of fur from rabbit skin, and adjusted the op-erating modes, which allow to reduce operating costs. They evaluated the technical and economic efficiency of microwave technology introduction for the processing of fur and the devices for rabbit farms; they developed practical recommendations for the operation of microwave units to separate fur from rabbit skins.El propósito de este trabajo es el desarrollo de la tecnología de microondas y los dispositivos que separan la piel de los cueros de conejo en un modo continuo a costos operativos reducidos. Desarrollaron el método para la acción del campo electromagnético de frecuencia ultraalta (UFEF), que proporciona la reducción del poder de retención de la fibra de la piel en el tejido de carne de la piel de conejo con el peinado y la recolección simultáneos. Calcularon las dependencias matemáticas que describen la dinámica del calentamiento de materias primas de componentes múltiples con el cambio de los parámetros dieléctricos y fisicomecánicos en el proceso de la UFEF. Calcularon y visualizaron las distribuciones del campo electromagnético en los resonadores desarrollados, sobre la base de los cuales fundamentaron los parámetros efectivos del sistema electrodinámico: la propiedad máxima, la calidad de los resonadores y la intensidad del campo eléctrico. Ellos sustentaron el complejo de parámetros estructurales y tecnológicos de los dispositivos con un nuevo diseño estructural de las cámaras de trabajo mediante una evaluación de múltiples criterios del proceso tecnológico para la separación de la piel del cuero del conejo.
Fabricaron y probaron el dispositivo de microondas en condiciones de producción para la separación de la piel de la piel de conejo, y ajustaron los modos de operación, lo que permite reducir los costos operativos. Evaluaron la eficiencia técnica y económica de la introducción de la tecnología de microondas para el procesamiento de pieles y los dispositivos para granjas de conejos; desarrollaron recomendaciones prácticas para el uncionamiento de las unidades de microondas para separar las pieles de los cueros de conejo.O objetivo deste trabalho é o desenvolvimento de tecnologia e dispositivos que separam a pele de peles de coelho em um modo contínuo a custos operacionais reduzidos microondas. Eles desenvolveram o método para a acção do campo electromagnético de alta frequência ultra-(UFEF), que fornece pele de coelho carne tecido de pele para retenção de fibras de energia reduzido com cabelo e recolha simultânea. Calcularam as dependências matemático para descrever a dinâmica do aquecimento materiais multicomponentes com a mudança de dieltricos e parâmetros fisicomecánicos no processo de UFEF. Eles calculado e visualizado as distribuições de campo eletromagnético em ressonadores desenvolvidos, com base na qual fundamentar os parâmetros reais do sistema electrodynamic: a propriedade máximo, a qualidade dos ressonadores e intensidade do campo elétrico. Eles sustentadas parâmetros estruturais e tecnológicas complexas dos dispositivos com um novo design estrutural das câmaras de trabalho através de uma avaliação multi-critérios do processo tecnológico para a separação de couro pele de coelho. Eles fabricado e testado o dispositivo de micro-ondas, sob condições de produção para a separação da pele da pele de coelho, e modos de operação ajustados, reduzindo assim os custos operacionais. Eles avaliaram a eficiência técnica e econômica da introdução de tecnologia de microondas para o processamento de dispositivos fazendas de peles e de coelho; desenvolveu recomendações práticas para a operação de unidades de microondas para separar peles de peles de coelho
Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries
Background
Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks.
Methods
The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned.
Results
A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31).
Conclusion
Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)